Plasmapheresis With Immunosuppressive Drug Therapy in Progressive Multiple Sclerosis
1984; American Medical Association; Volume: 41; Issue: 7 Linguagem: Inglês
10.1001/archneur.1984.04050180056018
ISSN1538-3687
Autores Tópico(s)Multiple Sclerosis Research Studies
Resumo• In light of encouraging preliminary data, 45 patients with severely progressive multiple sclerosis underwent long-term plasmapheresis in conjunction with low-dose cyclophosphamide and prednisone therapy. The disease progression was monitored by the Kurtzke disability status scale (DSS) and functional systems scale, neuro-ophthalmologic evaluations, evoked potentials, computed tomographic scans, and suppressor cell function assays. The conditions of 28 of the 45 patients improved significantly, the conditions of 14 patients showed limited improvement, and the conditions of three patients neither improved nor worsened. Improvement in other parameters correlated with the clinical results. Significant improvement in suppressor cell function was noted in those patients whose conditions had improved by one or more steps on the DSS.
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